Hisama, Fuki Marie
Hisama, Fuki Marie is an individual health care provider with primary practice located at 1959 Ne Pacific St Box 357720, Seattle WA 98195-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Hisama, Fuki Marie can be contacted via phone (206) 598-4030.Contact Information
Primary practice address
1959 Ne Pacific St Box 357720
Seattle WA 98195-0001
Phone: (206) 598-4030
Fax: (206) 598-8408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD60076638 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60076638 | Washington |
Profile Details
| NPI number | 1780666420 |
|---|---|
| LBN Legal business name | Hisama, Fuki Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Nov 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780666420 | NPPES |
| Washington | Other | 0249609 | L&I |
| Washington | MEDICAID | 1780666420 | L&I |
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